AB1587-PARE INFLUENCE OF COMPLEX KINESIOTHERAPY ON METABOLISM IN CASES OF SARCOPENIC OBESITY
Authors: V. Vasileva, L. Marchenkova
Journal: Annals of the Rheumatic Diseases (2022)

Background exercise is one of the main factors for the successful treatment of obesity. It is known that with increasing age, muscle strength (sarcopenic obesity) decreases in an obese patient, which can lead to early disability. Regular exercise therapy increases the functional capacity of the metabolism, prevention of obesity among the population, as well as treatment for persons with sarcopenia and obesity. Therefore, it is relevant to study in metabolism obese patients while using kinesiotherapy. Objectives aim of the study was to estimate the effect of complex 3-week treatment with 4 kinesiotherapy methods on body weight loss and carbohydrate metabolism in patients with obesity. Methods 80 people were enrolled in the study. 40 people in the first group (G1) -26-69 years old with alimentary obesity (mean age 53.7 ± 11 years, weight 106.8 ± 25 kg, BMI 38.3 ± 7.4 kg/m2, waist circumference WC 110.6 ± 16 cm, hip circumference HC 121 ± 15.3 cm. 40 people in the second group (G2) 21-68 years old with alimentary obesity (mean age 51.3 ± 11 years, weight 112.7 ± 25 kg, BMI 41.8 ± 8.2 kg/m2, WC 113.6 ± 16 cm, HC 126.3 ± 15.1 cm. Complex kinesiotherapy administrered daily for 3 weeks and included interactive sensorimotor training on double platform, a special complex of physical exercises in the gym and ergocycle trainings. In addition, in 2 gr. patients additionally included kinesiohydrotherapy in a pool. Weight, WC, HC, carbohydrate tolerance test (TT HC), insulin last 3 weeks was measured at baseline and after the treatment was completed. Evaluation of the results were performed at baseline and in 3 weeks. Results there was a significant improve in body weight in two groups (110 ± 24 kg at baseline vs 107 ± 22.5 kg in 3 weeks; p = 0.000), BMI (40 ± 8 vs 39 ± 7.6 kg/m2; p = 0.000), WC (112 ± 15.9 vs 108.1 ± 15 cm; p = 0.000), HC (123.4 ± 15.4 vs 119 ± 14 cm; p = 0.000) in treated obese patients. After 3 weeks, we registered statistically significant elevation in insulin levels of G2 vs to G1. With Z = 2.63 in G1, p = 0.003 and Z = 1.96, p = 0.002 in G2, and Z = 2.87 when assessing the significance elevation between G1 and G2, p = 0.023. Significantly improved performance of TT HC in 1 g. Z = 2.02, p = 0.04, in 2 g. Z = 3.004, p = 0.002. When assessing the significance of differences between G1 and G2 after treatment, Z = 2.3, p = 0.017. Conclusion Complex treatment with 4 methods of kinesiotherapy helps to reduce body weight, reduce WC, HC, insulin, TT HC in obesity. However, patients who additionally received kinesiohydrotherapy in a pool showed more significant improvements in metabolism. References [1]Tatiana V. Apkhanova, Tatiana V. Konchugova, Valery A. Vasilieva, Detelina B. Kulchitskaya, Elena M. Styazhkina, Michael A. Eremushkin, Sergey V. Sapelkin.Efficiency of non-medicamental complex rehabilitation of patients with chronic venous diseases of the lower limbs and obesity. //Archive Rehabilitation and Physical Medicine, ACRM 2021. [2]Ilmira R. Gilmutdinova, Vasiliy A. Kolyshenkov, Kristina A. Lapickaya, Anastasiya S. Trepova, Valeriia A. Vasileva, Andrei N. Prosvirnin, Larisa A. Marchenkova, Kirill V. Terentev, Maxim Y. Yakovlev, Andrey P. Rachin, Anatoliy D. Fesyun, Igor V. Reverchuk. Telemedicine Platform COVIDREHAB for Remote Rehabilitation of Patients After COVID-19. // Telemedicine Platform COVIDREHAB for Remote Rehabilitation Eur J Transl Myol 31 (2): 9783, 2021 doi: 10.4081/ejtm.2021.9783. [3]L. A. Marchenkova, V. A. Vasileva, Motor and balance function disorders and possibilities of their correction in patients with obesity and metabolic syndrome // Lechashchiy vrach. 2019. № 4. S. 68. Disclosure of Interests None declared